Publications by authors named "Naomichi Okamoto"

To date, only a limited number of studies have investigated the potential effects of apelin on mood regulation and emotional behavior. Therefore, this study investigated apelin's role in major depressive disorder (MDD) by comparing the serum and plasma apelin concentrations between 30 patients with MDD and 30 healthy controls (HCs), and the correlated serum and plasma apelin levels and the severity of depressive symptoms using the Montgomery-Åsberg Depression Rating Scale (MADRS). Blood samples were collected following 12 h of fasting, and the apelin levels were measured using an ELISA kit.

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Background: We investigated volumetric alterations in the bilateral choroid plexus (ChP) and brain ventricles of patients during their first episode of major depressive disorder (MDD) prior to antidepressant treatment.

Methods: Seventy-one first-episode drug-naïve patients with MDD and seventy-four healthy control (HC) subjects were recruited. MRI data were obtained, and bilateral ChP and brain ventricle volumes were evaluated using segmentation, based on the adaptive multiscale and expectation maximization method.

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  • Major depressive disorder (MDD) is a common mental health issue that affects motivation and pleasure, but its specific relationship with the reward system in first-episode, drug-naïve patients hasn't been explored thoroughly.
  • The study involved 89 MDD patients and 82 healthy controls, investigating how the fronto-striato network (FSN) relates to age and depression scores while finding age's effect on FSN only in healthy individuals.
  • Results showed that the FSN is influenced by both age and MDD, indicating a complex interaction, but there was no direct correlation between FSN and severity of depressive symptoms as measured by the Hamilton Rating Scale.
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Anorexia nervosa (AN) presents with a variety of physical complications such as hypoglycemia, electrolyte abnormalities, and dehydration associated with starvation, requiring rapid weight gain through nutritional therapy. However, despite nutritional therapy, patients are at risk of many serious medical complications, including hypoglycemia, hypophosphatemia, edema, and liver damage. Starvation has been found to cause hepatocyte injury with mild-to-severe increases in liver enzyme levels, and distinguishing between autophagy and refeeding syndrome is important for treatment strategies.

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  • Marchiafava-Bignami disease is a rare condition causing damage in the central nervous system, specifically leading to demyelination and necrosis.
  • A 60-year-old Japanese man with this disease experienced oromandibular dystonia after taking a low dose of olanzapine, but his symptoms resolved when the medication was stopped.
  • The case highlights how demyelinating lesions in the corpus callosum may play a role in dystonia, suggesting a more complex interaction between brain structures than previously understood.
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Major depressive disorder (MDD) is strongly associated with type 2 diabetes mellitus (T2DM). The kynurenine and serotonin pathways, as well as chronic low-grade inflammation, are being considered potential links between them. MDD associated with T2DM is less responsive to treatment than that without T2DM; however, the underlying mechanism remains unknown.

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Background: Primary aldosteronism (PA) is an adrenal gland disease, that induces increased secretion of the mineralocorticoid, aldosterone, resulting in symptoms such as hypertension. This study reports a patient with agoraphobia and panic attacks, associated with PA. This patient's psychiatric symptoms improved after treatment with eplerenone, a mineralocorticoid receptor antagonist.

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  • Previous research hinted at a link between brain-derived neurotrophic factor (BDNF) levels and worker stress, but this study is the first to explore salivary mature BDNF (mBDNF) as a noninvasive biomarker for psychological distress in healthcare professionals.
  • Conducted with 51 healthcare workers, the study assessed psychological distress using the Kessler 6 scale and compared salivary and plasma mBDNF levels, finding no significant correlations between them or with factors like age and BMI.
  • The results suggest that while salivary mBDNF can be measured noninvasively, it did not correlate with psychological distress as measured by the K6 or with plasma mBDNF levels, indicating
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  • The study investigated the link between levels of specific miRNAs in extracellular vesicles from blood serum and the severity of Major Depression (MD) in patients.
  • Researchers collected serum samples from 16 MD patients, extracted miRNAs using nanofiltration, and analyzed their expression through microarrays to assess their diagnostic potential.
  • Findings revealed that the miRNAs hsa-miR-6813-3p and hsa-miR-2277-3p were significantly lower in patients with more severe depression, suggesting they could be useful biomarkers and may provide insights into the biological mechanisms of MD.
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Objective: To investigate the effect of electroconvulsive treatment (ECT) on dynamic structural network connectivity in major depressive disorder (MDD), based on the triple-network model.

Methods: Twenty-one first-episode, drug-naïve patients with MDD and 21 age- and sex-matched healthy subjects were recruited. Bilateral electrical stimulation was performed thrice a week for a total of 4-5 weeks in the MDD group.

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Background: This study determined the effects of personality traits on depressive symptoms and social adaptation in healthy workers, and the effects of depressive symptoms or social adaptation before and after exercise therapy, and personality traits before exercise therapy on the achievement rates of exercise therapy aimed at preventing major depression.

Methods: Two hundred fifty healthy Japanese workers were given an eight-week walking program as exercise therapy. After excluding 35 participants who had dropped or provided incomplete information, 215 were included in the analysis.

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  • - A 66-year-old man with vascular dementia and seizures developed acute pancreatitis after being treated with valproic acid (VPA), despite showing no specific abdominal symptoms.
  • - Blood tests revealed an inflammatory response, leading to a diagnosis of VPA-induced pancreatitis, prompting the discontinuation of VPA and initiation of high-dose infusions.
  • - The case highlights the need for clinicians to recognize the risk of acute pancreatitis from VPA, especially in elderly patients who may not be able to report symptoms, underscoring the importance of monitoring blood amylase levels.
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Introduction: Despite the previous inconsistent findings of structural and functional abnormalities of the thalamus in patients with major depressive disorder (MDD), the disruption of the thalamic nuclei in the pathophysiology of this disorder has not yet been adequately studied. Therefore, we investigated the volumetric changes of thalamic subregions and their nuclei in drug-naïve, first-episode MDD patients. We also investigated the association between HAM-D scores, a clinical scale frequently used to evaluate the severity of depression and thalamic nuclei volumes in MDD patients.

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Introduction: Patients with schizophrenia experience the most prolonged hospital stay in Japan. Also, the high re-hospitalization rate affects their quality of life (QoL). Despite being an effective predictor of treatment, QoL has not been widely utilized due to time constraints and lack of interest.

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  • - A patient with schizoaffective disorder was being treated long-term with lithium and began experiencing prolonged delirium after being diagnosed with advanced endometrial cancer.
  • - Her overall health was deteriorating, and tests showed dangerously high levels of lithium in her blood.
  • - After undergoing hemodialysis to reduce the lithium toxicity, her levels returned to normal, and her delirium symptoms completely resolved.
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  • Brain-derived neurotrophic factor (BDNF) is important for neuron health and is implicated in major depression, with fluctuations in BDNF levels possibly reflecting changes in depressive symptoms.
  • This study looked at BDNF levels in first-time, medication-free patients with major depression who were treated with antidepressants, comparing those who responded well to treatment versus those who did not.
  • The findings indicated that while BDNF levels were similar initially, responders showed significant changes in BDNF concentrations over time, suggesting its potential as a predictor for treatment outcomes in depression.
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  • The study investigates the differences in serum metabolomics between patients with major depressive disorder (MDD) who have type 2 diabetes mellitus and those who do not, as well as healthy individuals.
  • Serum samples from healthy controls, and patients with MDD with and without diabetes were analyzed using advanced mass spectrometry techniques to identify metabolomic patterns.
  • The findings highlight distinct metabolic pathways related to energy conversion, glutamate metabolism, and ketone body synthesis, suggesting that MDD patients with diabetes may exhibit different biochemical profiles compared to those without.
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